Quick Update

Well, in just 5 days we will be touching down in Canada – we’ve been looking forward to this visit back home for some time now. When we haven’t been thinking of coming home, we’ve been moving along just great here in Kampala.

I (Deb) have been working to the brink, but making really good progress. We just received ethical approval for our main trial, ‘The ACT PRIME Study: Evaluating the impact of enhanced health facility-based care for malaria and febrile illnesses in children in Tororo, Uganda’ and are awaiting ethical approval for our supplementary trial, ‘The ACT PROCESS Study: Evaluating the process, context, and impact of interventions to enhance health facilities in Tororo, Uganda’. While it may seem boring to the outsider, receiving ethical approval is a big challenge and quite a lot of work, but also integral to the study design process. Over the past few months, we have been really thinking through the science and practicalities of how we will run our studies and how we will achieve & measure our outcomes. For our studies, we’ve had to apply to four ethical boards (2 in Uganda + London School of Hygiene & Tropical Medicine + University of California, San Francisco), most trials only go through one or two boards.

In addition to these ethical approvals, I have been working like mad on developing our ‘health facility intervention’ which is to train health workers at lower-level government health centres in the areas of ‘health centre management’ and ‘patient-centred services’. It’s been a really awesome experience to develop training for health workers from the ground up and I’ve been leading a really great team. We still have a ways to go and many challenges to overcome – so it doesn’t look like my 70+ hour weeks will be ending anytime soon...

Stu has been keeping busy as usual doing all of the manly things he likes to do - like cooking and baking. Today (while I am at work), Stu is preparing a Canadian Thanksgiving for 12 of our friends. The menu, developed and prepared entirely by Stu, is: Deviled Eggs for appetizer (my contribution here is to bring some chips from the corner store), Roasted carrots, Mashed potatoes, 3 beer can chickens (with different spice rubs on each), Stuffing, and Salad for the main course; and Coconut cream pumpkin pie with ginger snap crust for dessert! Phew! Stu woke up early this morning to go to the meat packers to get fresh chickens...and the rest of the dinner is in progress...

We are looking forward to seeing some of you in Ancaster/London/Cambridge/Waterloo/Toronto, Atlanta and Amsterdam very soon! For others we won’t be seeing this time around – we are sending you much love and kisses from Kampala! Come visit – Stu needs taste-testers...!!

D&S